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肛管减压预防直肠癌前切除术后吻合口瘘的价值评估
Anal Canal Decompression in Prophylaxis of Anastomotic Leakage after Anterior Resection for Rectal Neoplasms

DOI: 10.12677/ACM.2013.34008, PP. 29-32

Keywords: 直肠癌前切除术;吻合口瘘;肛管减压
Anterior Resection for Rectal Neoplasms
, Anastomotic Leakage, Anal Canal Decompression

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Abstract:

目的: 研究肛管减压对于预防直肠癌前切除术后吻合口瘘的作用。方法: 纳入20101月至20126月期间在华西医院胃肠外科中心同一手术组行直肠癌前切除术的患者,收集其基本人口学资料、肿瘤相关临床指标、合并症、肿瘤距肛缘距离、是否安置肛管、是否发生吻合口瘘等资料。使用SPSS17.0软件进行统计分析。结果: 共纳入患者432人,其中肛管减压组207人,对照组225人。两组基线水平无差别。肛管减压组吻合口瘘的发生率为1.45% (3/207),低于对照组4.89% (11/225),差异有统计学意义(P = 0.044)。行logistic回归分析显示糖尿病、BMI > 25 kg/m2、肿瘤下缘距肛门<7 cm为直肠癌前切除术后吻合口瘘的独立危险因素(P < 0.001, = 0.001, 0.002)结论:
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